@layout("/common/_form.html",{js:["/assets/client/client_edit.js"]}){

<form class="layui-form" id="clientForm" lay-filter="clientForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="clientId" type="hidden"/>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">联系人</label>
                        <div class="layui-input-block">
                            <input id="name" name="name" placeholder="请输入联系人" type="text" class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">联系电话</label>
                        <div class="layui-input-block">
                            <input id="phone" name="phone" placeholder="请输入电话" type="text" class="layui-input" />
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">负责人</label>
                        <div class="layui-input-block">
                            <input id="chargeName" name="chargeName" type="hidden" class="layui-input"/>
                            <select name="chargeName" id="chargeNameSelect" lay-filter="chargeNameSelect">

                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">负责人电话</label>
                        <div class="layui-input-block">
                            <input id="chargePhone" name="chargePhone" placeholder="请输入负责人电话" type="text" class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">业务人员</label>
                        <div class="layui-input-block">
                            <input id="businessName" name="businessName" type="hidden" class="layui-input"/>
                            <select name="businessName" id="businessNameSelect" lay-filter="businessNameSelect">

                            </select>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">公司名字</label>
                        <div class="layui-input-block">
                            <input id="companyName" name="companyName" placeholder="请输入公司名字" type="text" class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">公司编号</label>
                        <div class="layui-input-block">
                            <input id="companyCode" name="companyCode" placeholder="请输入公司编号" type="text" class="layui-input" />
                        </div>
                    </div>
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">业务名</label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="businessName" name="businessName" placeholder="请输入业务名" type="text" class="layui-input" />-->
<!--                        </div>-->
<!--                    </div>-->

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系地址</label>
                        <div class="layui-input-block">
                            <input id="address" name="address" placeholder="请输入地址" type="text" class="layui-input" />
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit id="comfireButton" type="button">&emsp;确认&emsp;
        </button>
        <button type="reset" class="layui-btn layui-btn-primary" id="backupPage">&emsp;返回&emsp;</button>
    </div>

</form>

@}